| Stephanie Mcmahon, Ph.d. | |
|
1800 Michael Faraday Dr Suite 206 Reston VA 20190-5354 | |
| (703) 955-6387 | |
| (703) 437-7429 |
| Full Name | Stephanie Mcmahon, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1800 Michael Faraday Dr, Reston, Virginia |
| Authorized Official Name and Position | Stephanie M Mcmahon (OWNER) |
| Authorized Official Contact | 7039556387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Mcmahon, Ph.d. 1800 Michael Faraday Dr Suite 206 Reston VA 20190-5354 Ph: (703) 955-6387 | Stephanie Mcmahon, Ph.d. 1800 Michael Faraday Dr Suite 206 Reston VA 20190-5354 Ph: (703) 955-6387 |
| NPI Number | 1669732665 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669732665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004555 (Virginia) | Primary |
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